OUTCOME 1 – DEVELOPMENTS IN RADIOGRAPHY EQUIPMENT
SPECIFIC OUTCOMES
ASSESSMENT CRITERIA
Apply knowledge to produce immobilization and beam modification devices for advanced specialised radiotherapy techniques and procedures.
Ö The immobilization aids for advanced specialized radiotherapy procedures are critically evaluated.
Ö The immobilization aids for advanced specialized radiotherapy procedures are produced.
Ö The principles of accurate patient set up for radiotherapy treatment are demonstrated in the manufacturing / effective use of immobilization devices.
Ö Beam modification devices required for specialized radiotherapy procedures are critically evaluated.
Ö Beam modification devices required for specialized radiotherapy procedures are produced where indicated.
Ö The principles of IMRT equipment and accessories are discussed and critically evaluated.
Ö Advanced principles of PACS and Teleradiology are critically evaluated and discussed.
Ö IMRT equipment is operated efficiently with problem solving skills demonstrated.

OUTCOME 2 – ADVANCES IN RADIOGRAPHY AND ITS CLINICAL IMPACT
SPECIFIC OUTCOMES
ASSESSMENT CRITERIA
Apply and integrate knowledge of radiotherapy sciences in order to produce a radiotherapy treatment plan and deliver treatment with IMRT
Ö The principles and indication of IMRT are critically evaluated and discussed.
Ö The patient’s clinical condition is evaluated and analysed and appropriate techniques and procedures are selected in consultation with the oncologist.
o IMRT
o IGRT
o Rapid Arc
· Knowledge of cross-sectional anatomy and physiology is applied in producing a radiotherapy treatment plan for IMRT.
· Treatment planning volumes are calculated accurately.
o The principles of radiobiology and radiation physics are applied to produce a radiotherapy treatment plan.
o The radiotherapy treatment plan is produced using the specified criteria for IMRT.
o Advanced application software is accurately used in context.
o Patients are prepared for IMRT procedures according to departmental protocols for accurate treatment delivery.
o Radiotherapy treatment plans for IMRT are critically evaluated.Images of optimum quality are produced and critically evaluated for the verification of radiation treatment fields where indicated.
o Patient care is applied to the patient and family/friends according to their rights, needs and specific cultures.
o Care, safety and maintenance of IMRT equipment and accessories are demonstrated.
Acquire an advanced knowledge of applied sectional anatomy, physiology and pathology using various imaging methods for the relevant systems
Ö Gross anatomical structures are identified and located in axial, sagittal, coronal and orthogonal planes.
Ö Illustrations and anatomy images are compared with MR, ultrasound, radioisotope and CT images in the same imaging planes and at the same level where applicable.
Ö The characteristic appearance of each anatomical structure as it appears on CT, MRI, radioisotope and ultrasound is identified and described.
Ö The common diseases diagnosable via CT are identified and described.

OUTCOME 3 – QUALITY ASSURANCE
SPECIFIC OUTCOMES
ASSESSMENT CRITERIA
Perform and maintain a total quality assurance programme relevant to IMRT and related radiotherapy services
Ö The principles and applications of Total Quality Management are evaluated and discussed in terms of radiotherapy department.
Ö Quality assurance procedures for advanced imaging systems are critically evaluated.
Ö The IMRT treatment process is quality assured including the equipment (using appropriate control tests) for accurate treatment delivery.
Ö The results of quality control tests on IMRT are evaluated, analysed and interpreted.
Ö Equipment faults are identified, evaluated and correctional action is taken.
Ö Staff and patient satisfaction are evaluated, analysed and monitored using the appropriate instruments.
Ö The departmental quality assurance programme is critically evaluated and improved based on the results of the evaluation.
Ö Radiation protection and safety measures are correctly applied to the patient, staff and public during IMRT procedures, according to the relevant legislation and departmental protocols.
Link to the NCI guidelines that must be reviewed: http://www.rtog.org/pdf_document/IMRT_NCI_Guidelines_v4.0.doc.